Individual
ANGELA TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
23275 290TH ST, RED WING, MN 55066-7139
(612) 747-0830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 161090-7
MN
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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